Healthcare Provider Details

I. General information

NPI: 1851296115
Provider Name (Legal Business Name): MICHELLE MONEYMAKER CMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE MONEYMAKER-FOX CMA

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3044 COLUMBUS LANCASTER RD NW
LANCASTER OH
43130-8125
US

IV. Provider business mailing address

257 E 200 S STE 350
SALT LAKE CITY UT
84111-2085
US

V. Phone/Fax

Practice location:
  • Phone: 740-883-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: